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23. Atopy as a risk factor for the development of asthma in young recruits.

Author

Moshe, Shlomo, Slodownik, Dan, Yagev, Yaron, Segal, Noa, Tavor, Michal, Afek, Arnon, and Zack, Oren

Subjects
ATOPY, ASTHMA risk factors, DISEASES in adults, CHRONIC disease treatment, ALLERGIC rhinitis
Abstract

Objective: Asthma is one of the most common chronic diseases globally. Atopy, and especially allergic rhinitis (AR), was found as an important risk factor for asthma. The purpose of this study was to examine the association between different atopic parameters and military professions to the incidence of asthma. Methods: In a retrospective study, we included 128 591 Israel Defense Forces soldiers drafted between the mid-nineties to the early-2000s. We examined the incidence rates of asthma in relation to atopic background and to military profession. Results: The relative risk (RR) for the development of asthma in persons with a history of AR and the RR for asthma in atopics vs. nonatopics was 1.86 (95% CI: 1.57-2.21) and 1.73 (95% CI: 1.47-2.04), respectively. The RR for the development of asthma in persons with a history of AR was higher in Combat Units (CU) and Administrative and Driving units (ADU) (RR=2.80; 95% CI: 2.09-3.76 and RR=1.58; 95% CI: 1.19-2.12, respectively) than in Maintenance Units (MU) (RR=1.27; 95% CI: 0.93-1.74). When comparing the risk for asthma amongst persons with AR, we found it lower in MU compared to ADU (RR=0.65; 95% CI: 0.43-0.97). In atopics vs. non-atopics, the risk for asthma was higher in ADU as compared to other occupations. Conclusions: Atopy, particularly AR, is a risk factor for the development of new-onset asthma in young adults. Atopy has the highest significant effect in CU where the physical demands are higher. [ABSTRACT FROM AUTHOR]

Published
2015
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24. 0078 The risk for low back pain caused by driving professions in a young adult population

Author

Moshe, Shlomo, Levin, Regina, Finestone, Aharon S, Krakov, Ayala, and Zack, Oren

Abstract

BackgroundThe aim of this study was to assess the relationship between the incidence and exacerbation of Low Back Pain (LBP) in young professional driversMethodsIn this controlled historical prospective study we included all male Israel Defense Forces (IDF) soldiers drafted between the years 1997–2006, followed them for 3 years and categorised them into three groups: administrative, light-duty vehicle drivers and heavy vehicle drivers. The incidence and recrudescence of LBP was calculated for soldiers with or without a medical history of LBP in either professional group accordingly.ResultsThe incidence rates for LBP were 0.7%, 0.34% and 0.43% for the combined administrative and light vehicle driver groups, heavy vehicle driver and total driver groups, respectively (averagely 0.65%). The Relative Risk (RR) for severe LBP exacerbation for soldiers with a history of LBP without clinical findings was 1.4 (p<0.001) and for soldiers with a history of LBP with mild clinical/radiographic findings was 3.8 (p<0.01). Examination of RR exacerbation rates within different severity tiers yielded a similar trend amongst all professions.ConclusionsThe crude incidence rate for LBP was found to be 0.65% - lower than literature reported rates, possibly attributable to our more stringent variable definition of severe LBP. The most prominent risk factors identified in our study include: a history of LBP and multiple complaints of LBP at recruitment. Driving profession in young age is not a risk for LBP.

Published
2017
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